Laserfiche WebLink
.�— <br /> i <br /> � � <br /> ,�-� � APPLICATI�iV FOR ELECTRlCAL � �RM <br /> M <br /> � � �f� <br /> O � O :rvcF <br /> � N F�i :�vere#t <br /> � � � .UIL�ING DEPART�IENT <br /> o H ]�9-HB10 <br /> � � � <br /> � ~ <br /> M — __-- <br /> y — ____�'_" _'."_"" ._._' � 11ian <br /> F� l�-nner Ifni-i ,ki�li••.s �ity _...— ii r <br /> � � � (�1a� IN Cr J/�!�}/1� 3 SnLt��� ��SING ?l��p����11 L.JQ qS?�n� <br /> lenant na� e�lrees �C��V hane <br /> � y � � � N T�.��sT c� �s� ��c� �RI� ����k� �,� a�z�3 _ <br /> u ettr Ca lontractur Hal dtlres! Cy D <br /> r�,o��----r��<�s� . <br /> �) RIGFFi SCf�UCHQV�I�i �j� �oPas.��,���-���rT,Fn ,� qK�'1!� � <br /> Conerect r ce or ea� <br /> ����� a�c�PlGflSfl l34C6 <br /> �ece adres <br /> �„�MCr R3003___�.Z� CASIN�� �� �v���iT WA a�'20�i <br /> ��,Q�l���l�C� ��� UIC'� ZJ i�R,411��1� �l0 — � �CU <br /> �� /�c< <�� �� �S' � ��'�l) 7 �6 �,�,�� /��d=5 <br /> 'C�� _ - <br /> 1 �_ _�- . <br /> �t NOTE: 'tlAC 296-46-140 REOUIRES THAT PL1H5 FOR ELECTRICAL WORH AT EDUCATIONAL, RISTITUTIONAI OA HEALfH CAPE FACIIITIES <br /> BE �PPNOVED BY THE STATE OF N�SHI"�L011. APPLIGNTS NITH SUCH J005 NUST SIION THE STAiE APPROVED PLANS BEFORE A <br /> CITY OF EVEREiT PERM11 pILL DE ISSJEO. <br /> � NOTE: 'MIRRIG IN NON-OWELL R�CS IS PEOUIRCD �0 OF. IN HETAL flACEl1AY5. <br /> � ��� <br /> I HEREBY CERTIFY THAT I HAVE PEAD AIlD F.XAMINE� TNIS <br /> !1�� APPLICATION ANO KNOW THE SAME TO 0E TRUE ANO CORRECT,ALL <br /> PHOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> WOf1K WILL BE COMPLETED WITH WHETHER SPECIFIED HEPEIN OR <br /> NOT. THE ORANTINO OF A PERMIT �OES NOT PRESUME TO OIVE <br /> + '�I�I � OTHER S ATE OR LOCAL UW REGULATINO CONSTAUCO7 ON OR 7NE <br /> PEfIFORMANCE OF CONSTRUCTION.TIiAT I AM AUTI10PI2EU BY THE /� <br /> � , OWNER OF THIS PHOPERTY TO PERFORM THE WOt7K FOFi WHICN FEE �� I �/S � ���� <br /> � APPLICATION IS MAUE AND I COMPLV WIiN THE $UTE <br /> ; �1�' CONTRACTOfi9 UW 18.27 RCW ANO 296.200 WAC. , <br /> l � <br /> \ X <br /> ���' �� ��� <br /> ,�"�,� _ <br /> Siqnature Onte <br /> �l S J 7 <br /> ` r <br />